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SGN2005-00101 1! C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00101 aJ� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/13/2005 PARCEL: 1S136CD-00101 BUSINESS NAME: WEST COAST BANK ZONE: C -G SIGN LOCATION: 11675 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: WEST COAST BANK BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. banner. Valid 4/13/05 thru 5/13/05. Sign #1 MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 17.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: ' ' , • PERMITTEE SIGNATURE: ' — ' DATE: 4/13/2005 i l • A i ' ° �� � SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project Site l r A )C5* 0.0 FOR STAFF USE ONLY Address/ Street Address Permit No.: 6C7 N 5 - C� ( v Location 10l-5 eZ k\ - i s7 3 Expiration Date: y�137� �c� 5 Suite /Bldg. # City /State Zip 1 1 RR G d Receipt #: Name Approved By: Property Date: `17/ 3 c\", Owner Mailing Address Suite Map /TL #: Zoning: C Cl City /State Zip Phone Tenant or Name Electrical Permit Required? El Yes ❑L-No Business � Ead Building Permit Required? El Yes ale Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a w ithout the required submittal elements) of all . City /State Zip Phone q ) licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) a New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: -, J Y' - ❑ $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ❑ $17.00 Fee (Temporary sign, any type) ❑ C it y ❑ Urb Si n Data Total Wall Area (sq. ft.) Jurisdiction g (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N E W NE NW SE SW Height to top of sign (feet): Z • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: ♦ Wall signs do not require site /plot plans. Materials: ♦ Freestanding signs over 6 ft. required a sign have illumination? ❑ Yes ❑ building permit. No_) ♦ If work authorized under a sign permit has not Type: ❑ Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall si s that overlap a tenant space? BECOME NULL AND VOID. Or Yes 1:1 No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. , DATED this day of Q , 20 ,`> ("7 Signature of Owner /Agent / S 7 Contact Person Name Phone No. 74%/ La 6 • CITY OF TIGARD 4/13/2005 13125 SW Hall Blvd. 10:36:22AM /45. ) . 4 , � �a Tigard, Oregon 97223 Aar AP (503) 63 9-4 17 1 it Receipt #: 27200500000000001633 Date: 04/13/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00101 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 1 SGN2005 -00101 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $17.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard WEST COAST BANK KJP 003408 In Person 17.00 Payment Total: $17.00 cReceipt.rpt Page 1 of 1